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Crucial Factors Influencing Health & Recovery in Musculoskeletal Care

presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Disclosure Statement:

Financial: Chad Cook receives compensation from MedBridge for this course. He also is a research consultant for Hawkins Foundation of the Carolinas. Chad Cook receives royalties from Pearson education, Maitland Australian Physiotherapy Association, AgenceEBP, and is a paid associate editor for JOSPT.

Non-Financial: Chad Cook is a senior associate editor for BJSM and is an editorial board member for J Physiotherapy and JMMT.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 90 Minutes; Learning Assessment Time: 63 Minutes

Worldwide, musculoskeletal (MSK) disorders are the second most common cause of disability, having increased by 45% from 1990 to 2010. Chronic MSK conditions continue to worsen, and despite millions of dollars in research and thousands of review and guidelines articles, patient-reported outcomes for those with musculoskeletal injuries have worsened over the last 15 years. We now recognize that our lack of progress in achieving better treatment results is rooted in the fact that we have failed to focus on identifying and addressing the factors that really do influence patients' outcomes. Evidence suggests that recovery from poor health or injury occurs by multidimensional means and that examination and treatment methods should reflect these dimensions. Recent work has outlined five critical assessment domains for addressing pain and disability: 1) nociceptive pain elements, 2) neuropathic pain elements, 3) comorbidities and severe mental health disorders, 4) moods and cognitions, and 5) social and environmental factors. This course addresses the constructs of each of these domains and discusses the best examination topics for each, and it reflects on recovery for patients regardless of acuity of symptoms. Health care practitioners, regardless of background, are targeted within the course topics.

Meet Your Instructor

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT, is a professor at Duke University and the program director of the Doctor of Physical Therapy division with a Category A appointment in the Duke Clinical Research Institute. He is a clinical researcher, physical therapist, and profession advocate with a long-term history of clinical care excellence and service…

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Chapters & Learning Objectives

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1. Our Outcomes Are Worsening: Why?

Musculoskeletal disorders are the second most common cause of disability. Chronic conditions continue to worsen, and despite millions of dollars in research and thousands of review and guidelines articles, patient-reported outcomes for those with musculoskeletal injuries have worsened. We now recognize that our lack of progress in achieving better treatment results is rooted in the fact that we have failed to focus on identifying and addressing the factors that really do influence patients’ outcomes. This chapter outlines why our outcomes have worsened and what domains are necessary to assess for better outcomes.

2. The Pain and Disability Drivers Model

The Pain and Disability Drivers model was created to give clinicians an understanding of which domains influence pain and disability. Five domains are discussed: nociceptive, neuropathic, comorbidity, cognitive-emotional, and social/environmental. Within the five domains, learners will be exposed to subclassifications of conditions that influence severity. Interactions among domains is also discussed.

3. Nociceptive Pain Drivers

Nociception and pain are two distinct components. Nociception is the sensory nervous system's response to certain harmful or potentially harmful stimuli. On the other hand, pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage. Nociception can cause the pain experience and is deserving of assessment. In this chapter, we describe key nociceptive triggers and associative examination methods for each.

4. Neuropathic Pain Drivers

Neuropathic pain arises as a direct consequence of a lesion or disease affecting the nerves or nervous system. Neuropathic pain may be associated with radiculopathy, myelopathy, and peripheral and/or central nervous system hypersensitivity. In this chapter, we describe the key neuropathic descriptors, tests, and measures used for assessment.

5. Comorbidity Pain and Disability Drivers

It is well described that comorbidities, sleep hygiene, and severe mental health illness are responsible for mediating health outcomes or worsening outcomes. These factors may influence both pain and disability. Conditions such as osteoarthritis are expected to continue to rise with an increasingly obese, sedentary, and aging population. Standard measurement of these factors should be as principal in a clinical examination as measuring vital signs. In this chapter, we describe key associative examination methods for each.

6. Cognitive and Emotional Pain and Disability Drivers

Much research has gone into understanding how moods and cognitions influence pain and disability outcomes. In fact, more than 5,200 peer-reviewed articles per year are published on this specific topic. Moods and cognitions can elicit a pain experience and can mediate outcomes. Moods and cognitions are particularly important when behaviors are changed in the individual. In this chapter, we describe key associative examination methods for cognitions and moods that influence pain and disability. We also discuss the challenges of medicalization of moods and how to reduce this risk in practice.

7. Social and Environmental Disability Drivers

Social and environment factors remain the strongest and most elusive of outcomes mediators and moderators. Commonly called "social determinants of health," social and environmental factors can influence outcomes and health-related disability. There is a significant challenge associated with how to measure these factors. In this chapter, we describe key associative examination methods that are transferable for all cultures and populations.

More Courses in this Series

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 90 Minutes; Learning Assessment Time: 62 Minutes

In this course, users will evaluate the impact and prevalence of cervical dysfunction, understand the imperative patient history elements of a neck examination, and identify which patient history components are affiliated with cervical pathology. The most common forms of self-reported outcome measures for the neck are presented and discussed. Viewers will also identify the most prevalent red flags germane to the cervical spine examination and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic cervical-spine-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 87 Minutes; Learning Assessment Time: 47 Minutes

In the course, learners will experience the recommended evidence-based interventions for the cervical spine. Users will recognize the more prevalent cervical pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying cervical conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment, secondary contributors, and global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 55 Minutes; Learning Assessment Time: 25 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning help students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and best treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each involved condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 67 Minutes; Learning Assessment Time: 62 Minutes

In this course, users will evaluate the impact and prevalence of thoracic dysfunction, understand the imperative patient history elements of a thoracic examination, and identify which patient history components are affiliated with thoracic pathology. The most common forms of self-report outcome measures for the thoracic spine are presented and discussed. Viewers will also identify the most prevalent red flags germane to the thoracic spine examination and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic thoracic-spine-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 62 Minutes; Learning Assessment Time: 54 Minutes

In the course, learners will experience the recommended evidence-based interventions for the thoracic spine. Users will recognize the more prevalent thoracic pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying thoracic conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the designations of pain and disability domains. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Thoracic Spine Examination and Treatment: Cases to Synthesize Learning

Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Thoracic Spine Examination and Treatment: Cases to Synthesize Learning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 50 Minutes; Learning Assessment Time: 24 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, revealing their perceptions, values, social norms, or impressions of events. This form of learning help students recognize and interpret important data coming from the patient's problem, thereby enabling students to arrive at a correct diagnosis and best treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each involved condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 74 Minutes; Learning Assessment Time: 62 Minutes

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View full course details

Evidence-Based Treatment of the Lumbar Spine: An Update

Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 75 Minutes; Learning Assessment Time: 47 Minutes

In this course, learners will experience the recommended evidence-based interventions for the lumbar spine. Users will recognize the more prevalent lumbar pathologies seen in musculoskeletal practice and understand the proposed benefits to classifying lumbar conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the designations of pain and disability domains. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and best treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each involved condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Examination of the Elbow, Wrist, and Hand: An Update

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Evidence-Based Examination of the Elbow, Wrist, and Hand: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 59 Minutes; Learning Assessment Time: 62 Minutes

In this course, users will evaluate the impact and prevalence of elbow, wrist, and hand dysfunction; understand the imperative patient history elements of a comprehensive examination; and identify which patient history components are affiliated with elbow, wrist, and hand pathology. The most common forms of self-reported outcomes measures for the elbow, wrist, and hand are presented and discussed. Viewers will also identify the most prevalent red flags germane to the elbow, wrist, and hand examination, and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process, and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic elbow-, wrist-, and hand-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Treatment of the Elbow, Wrist, and Hand: An Update

Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Evidence-Based Treatment of the Elbow, Wrist, and Hand: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 59 Minutes; Learning Assessment Time: 47 Minutes

In this course, learners will experience the recommended evidence-based interventions for the elbow, wrist, and hand. Users will recognize the more prevalent elbow, wrist, and hand pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying elbow, wrist, and hand conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Elbow, Wrist, and Hand Examination and Treatment: Cases to Synthesize Learning

Presented by Chad Cook, PT, PhD, MBA, FAPTA, FAAOMPT

Elbow, Wrist, and Hand Examination and Treatment: Cases to Synthesize Learning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 48 Minutes; Learning Assessment Time: 25 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each given condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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Video Runtime: 62 Minutes, Learning Assessments: 30 Minutes

There is an abundance of evidence to support the use of therapeutic exercise in improving pain across a number of musculoskeletal conditions when done appropriately. This course will review the principles of therapeutic exercise and the physiological principles behind how exercise can facilitate tissue healing. Exercise prescription training principles and variables are reviewed, including progressive overload, specificity, variation, reversibility, and individualization. Viewers will be provided general guidance and recommendations of resistance training in accordance with the American College of Sports Medicine in how to design a program, including training guidelines for strength, power, endurance, hypertrophy, and plyometric training. A review of load management is presented with tips on how to improve load management specific to tissue type. A model of how to progress exercises is presented, with sample exercises and progressions presented to enhance the viewer's exercise prescription skills.

View full course details

Evidence-Based Examination of the Hip: An Update

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Examination of the Hip: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 70 Minutes, Learning Assessments: 34 Minutes

In this course, users will evaluate the impact and prevalence of hip dysfunction, understand the imperative patient history elements of a hip examination, and identify which patient history components are affiliated with hip pathology. The most common forms of self-report outcomes measures for the hip are presented and discussed. Viewers will also identify the most prevalent red flags germane to the hip examination and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic hip-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Treatment of the Hip: An Update

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Treatment of the Hip: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 46 Minutes, Learning Assessments: 29 Minutes

In the course, learners will experience the recommended evidence-based interventions for the hip. Users will recognize the more prevalent hip pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying hip conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Hip Examination and Treatment: Cases to Synthesize Learning

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Hip Examination and Treatment: Cases to Synthesize Learning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 41 Minutes, Learning Assessments: 14 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each given condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Examination of the Foot and Ankle: An Update

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Examination of the Foot and Ankle: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 75 Minutes, Learning Assessments: 22 Minutes

In this course, users will evaluate the impact and prevalence of foot and ankle dysfunction, understand the imperative patient history elements of a foot and ankle examination, and identify which patient history components are affiliated with foot and ankle pathology. The most common forms of self-report outcomes measures for the foot and ankle are presented and discussed. Viewers will also identify the most prevalent red flags germane to the foot and ankle examination and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic foot- and ankle-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Treatment of the Foot and Ankle: An Update

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Treatment of the Foot and Ankle: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 51 Minutes; Learning Assessment Time: 34 Minutes

In this course, learners will experience the recommended evidence-based interventions for the foot and ankle. Users will recognize the more prevalent foot/ankle pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying foot/ankle conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Foot and Ankle Examination and Treatment: Cases to Synthesize Learning

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Foot and Ankle Examination and Treatment: Cases to Synthesize Learning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 39 Minutes; Learning Assessment Time: 14 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each given condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Examination of the SIJ/Pelvis

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Examination of the SIJ/Pelvis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 56 Minutes; Learning Assessment Time: 29 Minutes

In this course, users will evaluate the impact and prevalence of SIJ and pelvic dysfunction, understand the imperative patient history elements of a SIJ/pelvis examination, and identify which patient history components are affiliated with SIJ/pelvis pathology. The most common forms of self-report outcomes measures for the SIJ/pelvis are presented and discussed. Viewers will also identify the most prevalent red flags germane to the SIJ/pelvis examination, and differentiate the purposes of each diagnostic test for sinister problems. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Lastly, viewers will identify the most diagnostic SIJ/pelvis-oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Treatment of the SIJ/Pelvis

Presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Evidence-Based Treatment of the SIJ/Pelvis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 47 Minutes; Learning Assessment Time: 14 Minutes

In this course, learners will experience the recommended evidence-based interventions for the sacroiliac joint and pelvis. Users will recognize the more prevalent SIJ/pelvis pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying SIJ/pelvis conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

A Primer on Examination and Treatment Metrics

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

A Primer on Examination and Treatment Metrics

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Video Runtime: 48 Minutes, Learning Assessments: 12 Minutes

In this course, learners will be introduced to the Pain and Disability Drivers Management model and gain a greater understanding of the metrics that govern the examination and treatment processes. The examination process is based fundamentally on an understanding of epidemiology and measures such as prevalence and incidence. Examination metrics include measures like sensitivity, specificity, and likelihood ratios, applied with the goal of modifying pretest probability to get closer to some diagnosis (ruling in) and further away from others (ruling out). The goal of intervention is to produce superior patient outcomes. This course will provide a brief overview of outcome measures and discuss common treatment metrics, including p-value, effect size, and number needed to treat. In addition, prognostic factors will be discussed as they relate to outcomes and important measures like the minimal detectable change. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Examination of the Shoulder: An Update

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Evidence-Based Examination of the Shoulder: An Update

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Video Runtime: 77 Minutes, Learning Assessments: 27 Minutes

In this course, users will evaluate the impact and prevalence of shoulder dysfunction, understand the imperative patient history elements of a shoulder examination, and identify which patient history components are affiliated with shoulder pathology. The most common forms of self-report outcomes measures for the shoulder are presented and discussed. Viewers will also identify the most prevalent red flags encountered during the shoulder examination and differentiate the purposes of each screening test for problems meriting referral. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Special Tests of the Shoulder

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Special Tests of the Shoulder

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Video Runtime: 61 Minutes, Learning Assessments: 24 Minutes

In this course, viewers will wade into the plethora of special tests of the shoulder and discover not only the traditional tests that are unhelpful with diagnosis but also the best tests for ruling in and ruling out the most prevalent pathologies of the shoulder, as supported by scientific literature. Where science lacks proof, tests will be recommended based on their clinical use. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

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Evidence-Based Treatment of the Shoulder: An Update

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Evidence-Based Treatment of the Shoulder: An Update

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Video Runtime: 90 Minutes, Learning Assessments: 21 Minutes

In the course, learners will experience the recommended evidence-based interventions for the shoulder. Users will recognize the more prevalent shoulder pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying shoulder conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

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Management of the Shoulder: Case-Based Vignettes

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Management of the Shoulder: Case-Based Vignettes

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Video Runtime: 52 Minutes, Learning Assessments: 14 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and best treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each involved condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Examination of the Knee and Thigh: An Update

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Evidence-Based Examination of the Knee and Thigh: An Update

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Video Runtime: 71 Minutes, Learning Assessments: 31 Minutes

In this course, users will evaluate the impact and prevalence of knee and thigh dysfunction, understand the imperative patient history elements of a knee and thigh examination, and identify which patient history components are affiliated with knee and thigh pathology. The most common forms of self-report outcomes measures for the knee and thigh are presented and discussed. Viewers will also identify the most prevalent red flags encountered during the knee and thigh examination and differentiate the purposes of each screening test for problems meriting referral. An objective is to synthesize the importance of specific, meaningful clinical findings during the examination process and evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

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Special Tests of the Knee

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Special Tests of the Knee

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Video Runtime: 43 Minutes, Learning Assessments: 23 Minutes

In this course, viewers will wade into the plethora of special tests of the knee and discover not only the traditional tests that are unhelpful with diagnosis but also the best tests for ruling in and ruling out the most prevalent pathologies of the knee, as supported by scientific literature. Where science lacks proof, tests will be recommended based on their clinical use. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (knee, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

Evidence-Based Treatment of the Knee and Thigh: An Update

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Evidence-Based Treatment of the Knee and Thigh: An Update

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 74 Minutes, Learning Assessments: 27 Minutes

In the course, learners will experience the recommended evidence-based interventions for the knee and thigh. Users will recognize the more prevalent knee and thigh pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying knee and thigh conditions through use of the Pain and Disability Drivers model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee/thigh, foot, and ankle) quarters.

View full course details

Management of the Knee and Thigh: Case-Based Vignettes

Presented by Eric Hegedus, PT, DPT, PhD, MHSc, OCS

Management of the Knee and Thigh: Case-Based Vignettes

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 48 Minutes, Learning Assessments: 24 Minutes

Clinical vignettes, or cases, represent the oldest and most familiar form of medical communication. A vignette presents a hypothetical situation to which learners respond, thereby revealing their perceptions, values, social norms, or impressions of events. This form of learning helps students recognize and interpret important data coming from the patient's problem, enabling students to arrive at a correct diagnosis and best treatment course. This course uses four different cases to discuss the most pertinent examination and treatment methods for each involved condition. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

View full course details

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